July 2016

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Ferdinand Ross

I have been using an EMR for a while now and I although what you mention can have some clinical impact I am more concerned about the fact that most labs report their results using different names or coding schemes which makes extremely difficult or impossible for an EMR user to group them together in a meaningful way. I know that there are some coding standards that Canada has supposedly adopted but that are not implemented or used by labs.

Jan Fridén MD, Gothenburg, Sweden

Due to the potential risk in comparing results from different laboratories they should be presented separately, even if different reference limits are used. A practical solution is to present them in adjacent but different table rows. The results depends on calibration, reagent, instrument etc. "Standard codes" usually ignores these facts.

Instead of spreading results to different EMRs the information will be more consistent if the EMRs are linked to one system controlled by the delivering laboratories. The maintainance of "laboratory codes" in the EMRs will be unnecessary.

A simple solution for laboratory orders is tube labels with QR-code.

Although in swedish and not updated for years (the GUI has changed a lot) www.caredialog.com and www.labbest.com can give some hints.

LabBest, handling all types of preoders, orders and results, has been in use in Sweden for more than 10 years.

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